Essay about Professional Presence and Influence

Nurses should be encouraged to question the doctors if a wrong drug is prescribed. They should also restrain from taking verbal orders. Written signed orders should be mandated.

Society has progressed both socially and technologically as has medicine. This includes our understanding of health and healing as evidenced by Dossey’s three eras of medicine. Era 1, beginning in the 1800’s, reflected the prevailing view that health and illness are totally physical in nature and therapies included surgical procedures and drugs. Era 2, starting in the 1950’s, related to the mind and body. Practitioners began to realize that emotions and feelings can impact health. Era 3, still developing today, began in the 1990’s and builds on the previous eras by adding the spirit and proposes that consciousness is not confined to one’s

Two of the three models of health and healing discussed by Dossey (1999) were Era II Body/Mind Model of the 1950s and Era III Body/Mind/Spirit Model of the 1990s. According to Dossey (1999), post World War II the Medical Doctors noticed that there was proof that the functioning of the human body can be affected by other factors such as stress and emotions which, can lead to diseases such as ulcers and high blood pressure. This model brought to light the realization that treating the human body is complex because when the physical body is not well the mentation of the patient is affected resulting in exacerbation of other

Professional presence is an analysis of our past, present and future. It is a construct of our knowledge, our influences, our self-awareness and practices. It comes down to how each of us understands what it means to be human and how to care for one another. This is always evolving based on new experiences and knowledge. Through looking over time at the view point of humans, to personality tests, to personal development and lastly looking at optimal healing environments this paper will construct my professional presence and look at ways to improve my ability to care for others.

Healthcare, and Medicine is advancing more and more each day. As healthcare workers, our understanding of health and healing has improved and changed in the way we care for our patients. Dossey believed in the three eras of medicine. Era 1 began in the 1800s and its focus was solely on the body. The belief that healing and overall health are totally physical. The therapies and treatment were either medications or surgical procedures. The thought that healing all humans based on bodily functions, and how they can be treated will change as time changes. Era 2 began in the 1950s and it focused on the mind and body. Health care providers realized that

What does it mean to be human, and how do we as nurses provide care to our patients? According to Jean Watson “The future of nursing is tied back to Nightingales sense of calling guided by a sense of commitment and covenantal ethic of human service; cherishing our phenomena, our subject matter and those we serve. It is when we include caring and love in our work and our life we discover and affirm that nursing, like teaching is more than just a job but a life giving and life receiving career for a lifetime of growth and learning” (Watson, J. 1978). There have been many different

• “Guardians are concerned citizens who trust authority, join groups, seek security, prize gratitude, and dream of meting out justice”

My professional presence is more mind/spirit rather than all three combined. As I stated earlier, I rely on my relationship with God to help me make professional as well as personal decision. I work in community nursing, where there’s not a lot of critical care to be given, but I still have to use critical thinking skills in some situations. Minsky observed the most important thing in life is to grow-beyond our current state, to become more our essential authentic self. This is the grand opportunity called “life”. When I worked in the hospital setting, the first model of health, concentrating on stabilizing physical ailments, and overlooking the need to assess the patients for emotional, spiritual or cultural factors are generally practiced. I agree that western medicine as a whole has really evolved and with the integration of technology into the health care setting has been a positive move. I have often seen patients come in with physical illnesses and soon realized that some of the patients have mental illnesses as well. However, the doctor would only focus on the physical illness and prescribe medicines or surgery to only address

A1. Models of Health and Healing- The candidate provides a logical discussion, with substantial detail, of the differences between 2 models of health and healing as they relate to what it means to be human.

Another model of health that evolved over time is the physical-mind model. This model purports that a person’s overall state of health or ability to heal can be affected on how or what they think. For instance, that depression or anxiety can negatively impact a critically ill patient’s ability to heal. It also recognized that feelings or emotions can physically manifest as illness. For example, someone who is extremely anxious can give themselves an ulcer, without doing something to physically harm themselves. Simply being under significant stress can cause a physiological response to stimulate the creation of more stomach acid and wears a hole in the lining of the stomach, creating an ulcer. When using this model of health, doctor and nurses can treat a person, mind and body, when they have an illness.

Hospice care is a model of care that focuses on relieving symptoms and supporting patients with a life expectancy of six months or less (Altshuler, 2013). For most nurses, caring for a dying elder (individual aged 65 years and above) is a discrete, time-limited experience that begins with first contact, often in a hospital, emergency room, or long term care facility, and ends with the death itself (Phillips & Reed, 2008).

1. Era I – “Mechanical Medicine” began in the 1860’s. Its focus is on surgical procedures and drugs. The thought was that health and illness are only physical in nature and consciousness is equated to functioning of the brain. Era I thinking in displayed in review of psychiatric care in the early 1900 with the use of frontal lobotomies to cure hysteria. The thought was that performing a surgical procedure on the brain will remove the area that is causing the Hysteria. Era I focuses on performing a procedure or providing a medication to fix the body physically, while Era III takes into account the patients perception of health, their stats of mind and their support

An article written by George L Engel, American psychiatrist, “A Need for A New Medical Model: A Challenge for Biomedicine”. Therefore, he encourages the need to challenge the question of whether a change is necessary or not.   The Biomedical Model of Health allows the abilities to encourage further and more in-depth research into how to decrease diseases. There are many explanations or assumptions leading the formation or contribution in establishing the relationships between illness and behavior.  The Biomedical Model of Health increases the importance of emphasizing a more pathological illness and effect or belief on improving medical care. The Biomedical Model of Health relies on the combination of biology and medical purposes.  The model

“Nurses must learn to be credible, articulate, knowledgeable, and strong. This means anticipating arguments and heated exchanges” (Haddad, 155). Nurses are their own medical practitioners. If a nurse believes a doctor prescribed two prescriptions that are affecting each other’s effectiveness and cause side effects, then the nurse should articulate her concerns.

Non-compliance is expressed as the failure or refusal to comply. In this instance, it is used to reference a “patient who elicits through their behavior— the inability of taking medication, following a diet, executing lifestyle changes—or not corresponding with agreed recommendations from a health care provider” (McIntyre, 2016). Non-compliant behavior is actually believed to be an epidemic and is likely one of the most common causes of treatment failure for chronic conditions as it hinders the doctor’s ability to provide optimal care” (McIntyre, 2016). Patient education can